How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $79.43 | Facility | None | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | None | $74.13 | $74.13 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | None | $61.66 | $61.66 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $131.83 | Professional | None | $70.79 | $79.43 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $97.72 | Professional | None | $60.26 | $67.61 | $97.72 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $67.61 Typical High $87.10 | Professional | None | $1.00 | $67.61 | $87.10 |
Hometown Health Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $91.20 | Professional | None | $1.00 | $1.00 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $4,265.80 | Facility | None | $61.66 | $61.66 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $81.28 | Professional | None | $43.65 | $54.95 | $81.28 |
United Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $95.50 | Professional | None | $58.88 | $72.44 | $95.50 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $37.15 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | 53 · Discontinued | $14.79 | $14.79 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $12.02 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $7.94 |
Where Nevada sits
The same service costs 3.2 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nevada· 39th of 51
$74.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.